Individual provider · Type 1 NPI

Lacy Jean Carroll

Peer Specialist · Norman, OK

NPI number 1447005822 Active

Practice location

15951 Little Axe Dr
Norman, OK 73026-9088

Mailing address

356110 E 930 Rd
Stroud, OK 74079-5184

Other practice locations

  • 356110 E 930 Rd, Stroud, OK 74079-5184 · (918) 968-3531

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1447005822

Lacy Jean Carroll's National Provider Identifier is 1447005822, issued on Apr 19, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Norman, OK. The record was last updated on Oct 5, 2026.